急性肾损伤的新药。
New drugs for acute kidney injury.
机构信息
Clinical Research Centre, University College Dublin.
School of Medicine, University College Dublin, Dublin, Ireland.
出版信息
Curr Opin Crit Care. 2020 Dec;26(6):525-535. doi: 10.1097/MCC.0000000000000778.
PURPOSE OF REVIEW
To describe recent advances in the development of therapeutic agents for acute kidney injury (AKI).
RECENT FINDINGS
Traditional care for AKI is mostly supportive. At present, no specific therapy has been developed to prevent or treat AKI. However, based on a better understanding of the pathophysiology of AKI, various potential compounds have been recently identified and tested. A variety of pathways has been targeted, including oxidative and mitochondrial stress, cellular metabolism and repair, inflammation, apoptosis and hemodynamics. Many of these potential agents are currently ongoing early-phase clinical trials, and the purpose of this review is to provide a summary of those with the most potential.
SUMMARY
Despite the lack of therapies specifically approved for AKI, many interesting potential agents are entering clinical trials, with the potential to transform the care of patients with AKI.
目的综述
描述急性肾损伤(AKI)治疗药物研发的最新进展。
最近发现
AKI 的传统治疗主要是支持性的。目前,尚无专门用于预防或治疗 AKI 的特定疗法。然而,基于对 AKI 病理生理学的更好理解,最近已经确定并测试了各种潜在的化合物。多种途径已成为研究目标,包括氧化和线粒体应激、细胞代谢和修复、炎症、细胞凋亡和血液动力学。其中许多潜在的药物目前正在进行早期临床试验,本综述的目的是对最有潜力的药物进行总结。
总结
尽管缺乏专门批准用于 AKI 的疗法,但许多有趣的潜在药物正在进入临床试验,这有可能改变 AKI 患者的治疗方式。